NCLEX-RN
NCLEX RN Pediatric Practice Questions Questions
Extract:
Question 1 of 5
A child is admitted with a diagnosis of possible appendicitis. The child is in acute pain. Which of the following nursing interventions would be appropriate prior to surgery to decrease pain? Select all that apply.
Correct Answer: A,C,D
Rationale: Ice, comfortable positioning, and activity limitation reduce pain; heating pads and cathartics may worsen appendicitis.
Question 2 of 5
The nurse is caring for a child with osteomyelitis who will be receiving high-dose intravenous antibiotic therapy for 3 to 4 weeks. What should the nurse plan to monitor?
Correct Answer: D
Rationale: Urine specific gravity should be monitored to assess hydration status, as prolonged antibiotic therapy can affect renal function.
Question 3 of 5
The nurse is conducting a quality improvement audit on the pediatric unit. Which finding indicates a need for further staff education on IV catheter care?
Correct Answer: C
Rationale: High infiltration rates suggest improper technique or monitoring, requiring education.
Question 4 of 5
The stool culture of a child with profuse diarrhea reveals Salmonella bacilli. After teaching the mother about Salmonella, which of the following statements by the mother indicates effective teaching?
Correct Answer: A
Rationale: Salmonella can lead to a carrier state with prolonged infectiousness.
Question 5 of 5
After 6 months of treatment with diet and exercise, a 12-year-old with type 2 diabetes still has a fasting blood glucose level of 140 mg/dL. The primary care provider has decided to begin metformin (Glucophage). The adolescent asks how the medication works. The nurse should tell the client that the medicine decreases the glucose production and:
Correct Answer: C
Rationale: Metformin reduces hepatic glucose production and increases insulin sensitivity in peripheral tissues, improving glucose uptake. It does not replace insulin, stimulate insulin production, or affect carbohydrate absorption.